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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIE3 DIVISION f , <br />✓' ,�/ <br />� I�f� <br />UTILITY WORK ORDER <br />Date: c1- z i %� Fd WATER <br />O SEJVER <br />❑ STORM <br />�Q' SERVIPiE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TFEATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: <br />W.O. Instructions: ��i �/1 r i? � L�� ?�� 5� i��/L� <br />ESTIMATED <br />Labor (hours) • <br />Material (cosq . <br />Equipment (cost) : <br />� � V J � <br />►�°� Bq . <br />������ <br />W.O. N o. � <br />Acct. No. U � S r' `� <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />(�Y REPAIR <br />❑ CONSTRUCTION <br />ACTUAL �_/-�/� <br />Labor (hours) . <br />Material (cosq . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SL`PS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON FEVERSE SIDE. _, _. _ <br />�—� yj •-�J"1 Cost:S — <br />Completion (Date): • <br />Charge Account Number: <br />Address: <br />Invoice <br />� ins <br />Charge Cost Tc (Name1: -- — - <br />AmounLS <br />i p: — <br />e: <br />